Total Knee replacement is a procedure commonly performed for degenerative joint disorder, e.g. osteoarthritis and rheumatoid arthritis. It is considered to be the most common and successful joint replacement [1]. It is expected that there will be an increase demand for a bilateral total knee replacement in the future due to increase of aging population and the indication to the surgery1. Genera...

OBJECTIVE The data are conflicting for the association between the index-to-ring finger length ratio (2D:4D) and the risk of OA. The aim of this cohort study was to examine the relationship between 2D:4D and the risk of severe knee and hip OA requiring total joint replacement. METHODS A total of 14 511 participants in the Melbourne Collaborative Cohort Study had 2D:4D assessed from hand photo...

The move toward adoption and implementation of electronic health records (EHR) provides an opportunity in the United States to use electronic clinical data (ECD) to better understand patient outcomes and to improve the quality and efficiency of medical care. Within the field of orthopedics, national joint replacement registries have been shown in other countries to improve clinical decision-mak...

The use of an artificial joint is always related to a certain amount of wear. Its biological effects, e.g., the osteolysis potential, are a function of the bulk material as well as its debris. Following comprehensive experiences with polyethylene (PE) wear, material science is tracking two ways to minimize the risk of a particle-induced aseptic implant loosening: (i) reduction of the PE debris ...

OBJECTIVE To describe age-related differences in outcomes among older adults undergoing total hip arthroplasty (THA) and total knee arthroplasty (TKA). DESIGN Retrospective study. PARTICIPANTS A total of 1792 patients who underwent primary THA or TKA at the University of Iowa Hospitals and Clinics between 2010 and 2013 were identified in the University HealthSystem Consortium Database and U...

Modern joint replacements have been available for 45 years, but we still do not have clear indications for these interventions, and we do not know how to optimize the outcome for patients who agree to have them done. The MOBILE programme has been investigating these issues in relation to primary total hip and knee joint replacements, using mixed methods research. There have been five main stran...

OBJECTIVE To understand the profile of patients undergoing hip and knee replacement during two years, and to compare the data obtained with the literature. METHODS A total of 323 medical records were reviewed to analyze the perioperative data of patients submitted to hip and knee replacement. RESULTS Osteoarthritis was the main indication for both procedures and male patients were heavier t...